| Catholic Charities, Inc. - Archdiocese Of Hartford | |
|
205 Wakelee Ave. Ansonia CT 06401 | |
| (860) 493-1841 | |
| (869) 548-1930 |
| Full Name | Catholic Charities, Inc. - Archdiocese Of Hartford |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 205 Wakelee Ave., Ansonia, Connecticut |
| Authorized Official Name and Position | Marek Krzystof Kukulka (CEO) |
| Authorized Official Contact | 8607282566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities, Inc. - Archdiocese Of Hartford 839 Asylum Ave., Hartford CT 06105 Ph: (860) 493-1841 | Catholic Charities, Inc. - Archdiocese Of Hartford 205 Wakelee Ave. Ansonia CT 06401 Ph: (860) 493-1841 |
| NPI Number | 1497849624 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497849624 | NPI | - | NPPES |
| 004040978 | Medicaid | CT | |
| 183459 | Other | CO | HEALTHNET/MHN |
| 77ABH0007CT | Other | CT | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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